Wayne CoSTATEMENT OF ECONOMIC INTERESTS Date Received
CALIFORNIA FORM ' ._ _ Olfitlal Use Only
P OLITICAL FAIR COVER PAGE
PIPACP Imp nr nr ;nY ;n Ink. A Public Document APR fl
NAME (LAST) (FIRST) (MIDDLE) DAYTIME TELEPHONE NUMBER
/4h
MAILING ADDRESS STREET CITY STATE ZIP CODE - OPTIONAL'. FAX) E -MAIL ADDRESS
(May use business address) 5699-a�q
1 . Office, Agency, or Court
Name of O Agency, or Court:
X" ��
Division, Bo d, District, if applicable:
Your Posit' n:
► If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency:
Position:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ County of
❑ City of 4S
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date: __J __J
(�q Annual: The period covered is January 1, 2008,
through December 31, 2008.
-or-
0 The period covered is ___1__J—, through
December 31, 2008.
❑ Leaving Office Date Left: ��—
(Check one)
• The period covered is January 1, 2008, through the
date of leaving office.
-or-
O The period covered is through
the date of leaving office.
❑ Candidate Election Year:
4. Schedule Summary
► Total number of pages
including this cover page:
► Check applicable schedules or "No reportable
interests."
I have disclosed interests on one or more of the
attached schedules:
Schedule A -1 ❑ Yes - schedule attached
Investments (Less than 10% ownershlp)
Schedule A -2 ❑ Yes - schedule attached
Investments (1o% w greater Ownership)
Schedule B ❑ Yes - schedule attached
Real Property
Schedule C ❑ Yes - schedule attached
Income, Loans, & Business Positions pncome Other than Gins
and Travel Payments)
Schedule D ❑ Yes - schedule attached
Income - Gifts
Schedule E ❑ Yes - schedule attached
income - Gifts - Travel Payments
-or-
ly`I No reportable interests on any schedule
5. Verification
I have used all reasonable diligence in preparing this
statement. I have reviewed this statement and to the best
of my knowledge the information contained herein and in any
attached schedules is true and complete.
1 certify under penalty of perjury under the laws of the State
of California that the foregoing is true and correct.
U�f�O 0
Date Signed
(month, day, year)
Signature''
(File the onginally signed statement ilh your fling official.)
FPPC Form 700 (2008/2009)
FPPC Toll -Free Helpline: 866 /ASK -FPPC www.fppc.ca.gov